Healthcare Operations Executive

Confidential Dossier

Executive leader experienced in acquisitions, due diligence, revenue optimization, operational transformation, and scaling healthcare organizations across multiple markets.

A transformational healthcare executive with nearly 16 years of executive leadership experience serving as CEO, COO, Senior VP, Regional VP, and National VP of Operations across multi-site healthcare organizations and private equity-backed companies. Based in the Richmond, Virginia area, this executive has consistently delivered exceptional operational turnarounds, de novo growth, P&L leadership, strategic expansion, and enterprise-wide change management. Most recently, they have been providing executive advisory services to private equity firms and healthcare organizations, leading due diligence, growth strategy, and operational optimization initiatives while remaining open to returning to a full-time executive leadership role.

Achievements & Impact

Led operational and financial oversight for organizations with P&Ls up to $400M and teams exceeding 600 beds, 200+ employees, and multi-state operations.

Expanded one national outpatient division from 5 to 16 locations, increasing annual revenue from $10M to more than $50M in just two years.

Delivered multiple successful organizational turnarounds, including EBITDA improvement from 14.8% to 22%, revenue growth of 14% year-over-year, and significant improvements in quality, compliance, staffing, and operational performance.

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TESTIMONIALS

What People Say

I had the privilege and opportunity to work with David for several years. He always amazed me with how quickly he could pick up difficult concepts, and truly soak in information effectively and efficiently. David has built an amazing brand and is the ultimate professional. If I was building a team. David is one of the first people that I would call. He has an amazingly bright future in whatever career path he seeks.

Mike McDonald

Workday 

Account Executive

TESTIMONIALS

What People Say

I had the privilege of working with David Emmanuel from 2019-2019 while working on a very demanding logistics contract supporting the United States Marine Corps. David served as the Account Director for 11th Hour Services and managed a geographically displaced team of consultants. He is a natural leader, team builder, and recruiter. Dave assembled a top-notch team of logistics consultants who supported the successful inventory of over $350 million worth of equipment. He flawlessly provided personnel management to our entire team. David is a genuine and enthusiastic professional who excels at talent management and building teams. He has my highest recommendation; I look forward to working with him again!

Kerry Dennard

Gordon Animal Clinic

Owner

TESTIMONIALS

What People Say

I am pleased to wholeheartedly recommend David for his outstanding abilities in recruiting and account management. As his manager for 1.5 years, I had the privilege of witnessing his remarkable dedication and skill firsthand.


David’s expertise in financial audit and advisory recruiting is truly impressive. His deep understanding of the industry’s nuances allows him to identify and attract top-tier talent that aligns perfectly with the needs of the roles he’s handling. His commitment to excellence is evident through his meticulous approach to assessing candidates’ qualifications and ensuring a strong cultural fit.

Lindsay Smith

MITRE

Talent Acquisition Leader

ABOUT US

At 11th Hour Service, I specialize in building powerful teams that drive results—whether it's a government agency seeking cleared professionals, a healthcare system in need of elite clinical talent, or a private firm looking for data-savvy leaders to scale growth.

As a trusted recruitment partner, I help hiring managers eliminate uncertainty from their hiring process. I understand the pressure you're under to make the right hire, fast—and I bring clarity, confidence, and consistent quality to every search.

On the flip side, I advocate for top-tier professionals—connecting them with career-defining roles that offer purpose, stability, and room to grow. From cybersecurity experts and financial strategists to RNs and executive leaders, I help professionals align their careers with what matters most.


Whether you're hiring your next difference-maker or ready for a career move that fits your ambition and impact—you don’t have to do it alone.

Let’s connect and make your next move the right one.

By Mail or In Person:

3110 Fairview Park Dr # 1200

Falls Church, VA 22042

Phone: 571-309-4645

Fax: 202-978-4795

demmanuel@11thHourService.com

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